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CANVAS Ogden Chapter - 014 IM Calculations
CANVAS Ogden Chapter - 014 IM Calculations
1. The physician orders Recombivax HB 10 mcg IM for hepatitis B vaccination. The medication is
supplied in 5 mcg/0.5 mL. How many milliliters will the nurse administer?_______________
Shade the syringe.
ANS:
1 mL
2. The physician orders Methergine 0.3 mg IM for postpartum bleeding. The medication is supplied
in 0.2 mg/mL. How many milliliters will the nurse administer? ____________________
Shade the syringe.
ANS:
1.5 mL
3. The physician orders Stadol 2 mg IM for pain. The medication is supplied in 1 mg/mL. How
many milliliters will the nurse administer? ___________________ Shade the syringe.
Copyright © 2011, 2007 Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
ANS:
2 mL
4. The physician orders Toradol 45 mg IM for migraine headache. The medication is supplied in 30
mg/mL. How many milliliters will the nurse administer? ____________________
Shade the syringe.
ANS:
1.5 mL
5. The physician orders Lovenox 80 mg subcutaneous daily for prevention of deep vein thrombosis.
The medication is supplied in 80 mg/0.8 mL. How many milliliters will the nurse administer?
____________________ Shade the syringe.
ANS: 0.8mL
Copyright © 2011, 2007 Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
6. The physician orders testosterone 170 mg IM weekly for hormone replacement. The medication
is supplied in 200 mg/mL. How many milliliters will the nurse administer?
____________________ Shade the syringe.
ANS:
0.85 mL
7. The physician orders Neupogen 400 mcg subcutaneous daily for neutropenia. The medication is
supplied in 300 mcg/mL. How many milliliters will the nurse administer? _________________
Shade the syringe.
ANS:
1.3 mL
8. The physician orders furosemide 60 mg IV push stat for edema. How many milliliters will the
nurse administer? ____________________
Copyright © 2011, 2007 Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
ANS: 6 mL
9. The physician orders KCl 10 mEq in 1000 mL of D5 NS to infuse at 100 mL/h. How many
milliliters of KCl will the nurse add to the IV? ____________________
ANS: 5 mL
10. The physician orders Imitrex 4 mg subcutaneous for migraine headache. The medication is
supplied in 12 mg/mL. How many milliliters will the nurse administer? ____________________
ANS: 0.33 mL
11.The physician orders Imferon 90 mg IM (Z track) for anemia. The medication is supplied in 50
mg/mL. How many milliliters will the nurse administer? ____________________
ANS: 1.8 mL
Copyright © 2011, 2007 Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
12.The physician orders Solu-Cortef 90 mg IM q8 h. How many milliliters will the nurse administer?
____________________
ANS: 0.72 mL
13. The physician orders morphine 9 mg IM q4 h for pain. How many milliliters will the nurse
administer? ____________________
ANS: 0.6 mL
14. The physician orders 30 mg of medication diluted in 100 mL of D5W given over 15 to 30
minutes IV. The medication is supplied in 40 mg/5 mL. How many milliliters will the nurse add
to the IV solution? ____________________
Copyright © 2011, 2007 Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
ANS: 3.8 mL
15. Vistaril 75 mg IM is ordered for anxiety. How many milliliters will the nurse administer?
____________________
ANS: 1.5 mL
16. A patient with fluid volume overload has bumetanide injection 2 milligrams IV push ordered.
The bumetanide is available in a 0.25 milligram per milliliter concentration. How many
milliliters should the nurse administer with each dose? _________
ANS: 8 mL
17. Arixtra 2.5 mg subcutaneous every morning is ordered for prevention of deep vein thrombosis.
The Arixtra is available in 5 mg per 0.4 milliliter vials. How many milliliters would the nurse
administer with each dose? __________
ANS: 0.2 mL
Copyright © 2011, 2007 Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
18. The physician has ordered Haldol 0.5 mg IV every 2 hours prn for agitation. The Haldol is
available in 5 mg per 1 milliliter vials. How many milliliters would the nurse administer with
each dose? __________
ANS: 0.1 mL
19. A patient with nausea and vomiting has prochlorperazine 5 mg IV every 6 hours prn. The
prochlorperazine is supplied in 5 mg per 1 milliliter vials. How many milliliters would the nurse
administer with each dose? __________
ANS: 1 mL
20. A patient has fentanyl 100 mcg IV every 2 hours prn for pain after surgery. The fentanyl is
available in 0.05 mg per 1 milliliter vials. How many milliliters would the nurse administer with
each dose? __________
ANS: 2 mL
21. Naloxone 0.1 mg IV every 30 minutes is ordered for a respiratory rate below 8 per minute. The
naloxone is available in 0.4 mg per 1 milliliter vials. How many milliliters would the nurse
administer with each dose? (round answer to the nearest hundredths)__________
Copyright © 2011, 2007 Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
ANS: 0.25 mL
22. A patient has labetalol 10 mg IV every 2 hours prn for systolic blood pressure more than 180
mmHg. The labetalol is available in 5 mg per 1 milliliter vials. How many milliliters would the
nurse administer with each dose? __________
ANS: 2 mL
23. A patient with renal failure has orders for Epogen 10,000 units subcutaneous every Monday,
Wednesday, and Friday; hold if hemoglobin is greater than 11 g/dL. The Epogen is supplied in
10,000 units per 1 milliliter vials. How many milliliters would the nurse administer with each
dose? __________
ANS: 1 mL
Copyright © 2011, 2007 Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
24. The physician has ordered hydromorphone 0.2 mg IV every 30 minutes prn for pain. The
hydromorphone is available in 2 mg per 1 milliliter vials. How many milliliters would the nurse
administer with each dose? __________
ANS: 0.1 mL
25. Arixtra 5 mg subcutaneous every morning is ordered for deep vein thrombosis prevention. The
Arixtra is available in 5 mg per 0.4 milliliter vials. How many milliliters would the nurse
administer with each dose? __________
ANS: 0.4 mL
26. A patient with fluid volume overload has bumetanide injection 1.5 milligrams intravenous
ordered. The bumetanide is available in a 0.25 milligram per milliliter concentration. How many
milliliters should the nurse administer with each dose? _________
Copyright © 2011, 2007 Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
ANS: 6 mL
27. The physician has ordered Haldol 2 mg IV every 2 hours prn for agitation. The Haldol is
available in 5 mg per 1 milliliter vials. How many milliliters would the nurse administer with
each dose? __________
ANS: 0.4 mL
28. A patient has fentanyl 150 mcg IV every 2 hours prn for pain after surgery. The fentanyl is
available in 0.05 mg per 1 milliliter vials. How many milliliters would the nurse administer with
each dose? __________
ANS: 3 mL
29. A patient with anemia has Epogen 5,000 units subcutaneous every Monday. The Epogen is
supplied in 10,000 units per 1 milliliter vials. How many milliliters would the nurse administer
with each dose? __________
Copyright © 2011, 2007 Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
ANS:
0.5 mL
½ mL
30. Naloxone 0.2 mg IV every 30 minutes is ordered for a respiratory rate below 8 per minute. The
naloxone is available in 0.4 mg per 1 milliliter vials. How many milliliters would the nurse
administer with each dose? (round answer to the nearest hundredths)__________
ANS: 0.5 mL
31. A patient has labetalol 20 mg IV every 2 hours prn for systolic blood pressure > 180 mmHg. The
labetalol is available in 5 mg per 1 milliliter vials. How many milliliters would the nurse
administer with each dose? __________
ANS: 4 mL
32. A patient with nausea and vomiting has prochlorperazine 10 mg IV every 6 hours prn. The
prochlorperazine is supplied in 5 mg per 1 milliliter vials. How many milliliters would the nurse
administer with each dose? __________
Copyright © 2011, 2007 Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
ANS: 2 mL
33. The physician has ordered hydromorphone 0.4 mg IV every 30 minutes prn for pain. The
hydromorphone is available in 2 mg per 1 milliliter vials. How many milliliters would the nurse
administer with each dose? __________
ANS: 0.2 mL
34. A patient has fentanyl 50 mcg IV every 2 hours prn for pain after surgery. The fentanyl is
available in 0.05 mg per 1 milliliter vials. How many milliliters would the nurse administer with
each dose? __________
ANS: 1 mL
35. A patient with anemia has Epogen 7,500 units subcutaneous every Monday, Wednesday, and
Friday. The Epogen is supplied in 10,000 units per 1 milliliter vials. How many milliliters would
the nurse administer with each dose? (round to the nearest hundredths) __________
Copyright © 2011, 2007 Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
ANS:
0.75mL
¾ mL
36. Ondansetron 4 mg IV every 6 hours as needed for nausea is ordered. The Ondansetron is
available in a 2 mg/mL concentration. How many milliliters would the nurse administer with
each dose? ________
ANS: 2 mL
ANS: 0.4 mL
38. Hydralazine 10 mg IV every 4 hours is ordered for a patient with hypertension. The hydralazine
is available in a 10 mg/2 mL concentration. How many milliliters of hydralazine would the nurse
administer with each dose? _____
ANS: 2 mL
39. Zofran 8 mg IV every 6 hours as needed for nausea is ordered. The Zofran is available in a 2
mg/mL concentration. How many milliliters would the nurse administer with each dose?
________
ANS: 4 mL
Copyright © 2011, 2007 Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
40. Benadryl 25 mg IV every 6 hours is ordered postoperatively for itching. The Benadryl is
available in a 25 mg/mL concentration. How many milliliters of Benadryl would the nurse
administer with each dose? ______
ANS: 1 mL
41. Apresoline 10 mg IV every 4 hours is ordered for a patient with hypertension. The Apresoline is
available in a 5 mg/2 mL concentration. How many milliliters of Apresoline would the nurse
administer with each dose? _____
ANS: 4 mL
42. A patient with rapid atrial fibrillation has an order for Corvert 1 mg IV over 1 minute STAT. The
Corvert is available in a concentration of 0.2 mg/mL. How many milliliters of Corvert would the
nurse administer? _____
ANS: 5 mL
43. Narcan 0.8 mg IV every 30 minutes is ordered for a patient with a respiratory rate less than 8 per
minute. The Narcan is available in 0.4 mg per 1 milliliter vials. How many milliliters would the
nurse administer with each dose? (round answer to the nearest hundredths)__________
ANS: 2 mL
44. The physician has ordered Dilaudid 0.6 mg IV every 30 minutes prn for pain. The Dilaudid is
available in 2 mg per 1 milliliter vials. How many milliliters would the nurse administer with
each dose? __________
ANS: 0.3 mL
45. A patient with fluid volume overload has Bumex 2 milligrams intravenous injection ordered. The
Bumex is available in a 0.25 milligram per milliliter concentration. How many milliliters should
the nurse administer with each dose? _________
Copyright © 2011, 2007 Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
ANS: 8 mL
46. A patient with renal failure has Lasix 40 milligrams intravenous ordered. The Lasix is available
in a 10 mg/mL concentration. How many milliliters should the nurse administer with each dose?
_________
ANS: 4 mL
47. Protonix 20 mg is ordered IV twice a day for a patient. The Protonix is available in a 40 mg/10
mL concentration. How many milliliters would be given with each dose? ______
ANS: 5 mL
48. A physician orders Reglan 10 mg IV every 6 hours for a patient with high gastric residuals.
Using a vial with a 10 mg/mL concentration, how many milliliters would be administered with
each dose? ____________
ANS: 1 mL
49. A patient has an order for metoclopramide 5 mg IV every 6 hours for a patient with high gastric
residuals. Using a vial with a 10 mg/mL concentration, how many milliliters would be
administered with each dose? ____________
ANS:
Copyright © 2011, 2007 Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
0.5 mL
½ mL
50. According to the heparin protocol, a patient is to receive 70 units per kg IV before the continuous
heparin infusion is started. For a patient weighing 60 kg, how many units of heparin should be
administer? _________ Using a concentration of 1000 units/mL, how many milliliters of heparin
should be administered? _______
51. According to the heparin protocol, a patient is to receive 80 units per kg IV before the continuous
heparin infusion is started. For a patient weighing 75 kg, how many units of heparin should be
administered? _________ Using a concentration of 1000 units/mL, how many milliliters of
heparin should be administered? _______
Copyright © 2011, 2007 Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.